Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11858 | Date 16/01/2023 |
| Token No | SM/25-26/1192 09/05/2025 | Serial | 030 Last Visit: 09/05/2025 |
| Patient Name | Miss SNEHA SARDAR | Contact No | 9836234920 |
| Address | BHATTACHARJEE GARDEN ROAD | Age | 8 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||